Kadasne’s Textbook of Anatomy (Clinically Oriented) Volume 2: Thorax, Abdomen and Pelvis DK Kadasne
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1Kadasne's Textbook of ANATOMY (Clinically Oriented)2
3Kadasne's Textbook of ANATOMY (Clinically Oriented)
Volume 2: Thorax, Abdomen and Pelvis
DK Kadasne MS FRCS FICS Emeritus Professor Department of Anatomy Pandit Jawaharlal Nehru Medical College DMIMS (a Deemed University) Sawangi, Wardha Maharashtra, India
4Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
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Kadasne's Textbook of Anatomy (Clinically Oriented) (Volume 2)
© 2009, Jaypee Brothers Medical Publishers
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher.
First Edition: 2009
9788184484564
Typeset at JPBMP typesetting unit
Printed at Rajkamal Press
5Dedicated to the Sacred Memory of My Late Beloved Parents6
7
FOREWORD
Peeping into memory lanes of the yester years, it vividly comes into my focused attention of the Herculean difficulties which I had to face as an ordinary student of first MBBS in the early 70's, while groping into the annals of Anatomy as a subject. It appeared to be “tough, baffling and difficult to grasp”, and much more, difficult to ‘retain’ for the purposes of ‘recall’.
Frankly speaking, it was genuinely a dreadful proposition till we were told by our seniors to just fall back to the notes titled' Approach to Anatomy' penned by none else than respected Dr DK Kadasane Sir. It realistically had an astonishing effect to the extent that what was ‘dreadful; till the previous day became understandingly lovable subsequent thereto. It was some sort of realistic magic which till date does not go out of the memory.
I therefore feel greatly privileged to be writing this foreword for the present book, which is a genuine manifestation of unparalleled creativity brought out by respected Dr DK Kadasane Sir in his lucid and free flowing style. The contents, description, syntaxing and diagrammatic depiction, all taken together make it look as if it is “Anatomy made easiest” for one and all.
Indeed, it is a great venture which is nothing but a depiction of the commitment that Dr DK Kadasane Sir has harboured deep in his heart and mind for the subject of anatomy all his life and has never fallen short when he started writting the book which would cater to the cause of the learners as well as teachers in a meaningful way.
No amount of praise showered on him would be sufficient to commensurate with his single minded devotion to the teaching and learning of the subject of anatomy and facilitating it in a way which would really be memorable on all counts.
I have every reason to believe that this book entitled Kadasne's Textbook of Anatomy (Clinically Oriented) would not only be handy, useful, purposive and relevant to the requirements of students and teachers of anatomy but would also be of significant consequence to the teachers of surgery and its allied specialities.
The unique feature of applied aspects in this book is due to the fact that Dr Kadasne is a qualified Anatomist as well as Surgeon of cognition and repute.
I take the privilege of saluting the ‘unending zeal and unfathomable commitment of ‘teacher of teachers’ respected Dr DK Kadasane Sir, inspite of being aware of the fact that any expression howsoever, genuine and bonafide it be, would not be able to match his creative prowess.
Vedprakash Mishra
Chairman
Post Graduate Medical Education Committee,
Medical Council of India, New Delhi8
9PREFACE
I had the pleasure of teaching Anatomy at the Government Medical College, Nagpur and Surgery at the Indira Gandhi Medical College, Nagpur. I am convinced that surgery brings meaning to anatomy. Surgery is an applied anatomy in the true sense. Anatomy was written and taught by surgeons and physicians in the golden era of rise of medicine. Anatomy was brought to a respectable stage by great surgeons and physicians. It happened in the days when touching of dead and the blood was considered a sin.
The call was given to all the anatomists over the world by a famed and the pioneer surgeon as “Anatomist should come out of the dead house and prove their worth in other clinical sciences. In case of the members of clinical sciences prevent them, the loss is theirs—the loss of humanity”.
Every structure in the body has the hidden surgical and clinical thrill of practical importance. It is only on the foundation of anatomy the clinical sciences progressed to the stage of organ transplant. Emergence of the non-invasive techniques of investigation have acted as a boon for anatomy in its further research and clinical application.
Keeping in view the thoughts expressed, I ventured to write a book to create interest and enthusiasm amongst the students while learning anatomy.
No book is complete and no book can be comprehensive.
DK Kadasne10
11ACKNOWLEDGEMENTS
My acknowledgements are due to my revered teachers, i.e. Dr NS Sahastrabuddhe, Dr Gopal Rao, Dr SL Robert, Dr PC Bansal and Dr PN Dubey for their support and guidance.
Mr Datta Meghe, MP and the Chancellor of the DMIMS gave me an opportunity to enter into the academic field of teaching anatomy in addition to my surgical practice. This is the major factor which inspired me to write a book of this type.
Mr Sagar Meghe, MLA played a pivotal role in keeping me engaged in the teaching of anatomy. Dr Dilip Gode, presently the Professor of Surgery in Pandit Jawaharlal Nehru Medical College, Sawangi, Wardha has always acted as my well wisher and supporter, whom I can never forget.
I am indebted to Dr Joharapurkar, Director, Datta Meghe Institute, Department of Post Graduate Research and Medical Education and the member of the Management Council for encouragement and support. My thanks are due to Dr Patel, the Dean of the Pandit Jawaharlal Nehru Medical College, Sawangi for appreciation. Dr Mrs Fulzele, Professor and Head of the Department of Anatomy of the Pandit Jawaharlal Nehru Medical College, Sawangi deserves my grateful thanks for discussions during the preparation of the book. Dr Mrs Rawalani deserves thanks for showing interest in my undertaking.
I could not have presented the book in the present form without the generous donation of the clinical material provide by my friends who are renowned experts in their respective fields. Dr Shirish Dhande, a renowned radiologist of the city made the X-rays and the MRI available.
It is my honour that Dr Vedprakash Mishra, Vice-Chancellor of the DMIMS University, Sawangi, Wardha, and the Chairman of Post Graduate Medical Education Committee, Medical Council of India, New Delhi, a doyen in the science of physiology agreed to write a foreword for this book.
Dr GM Taori, the Director of CIMS, Bajaj Nagar, Nagpur whole heartedly co-operated with me in obtaining the consent of the management committee of the institution for permission of using the beautiful cerebral angiogram. The skill and the knowledge of Dr Kothekar, who is the master in his own field need not be highlighted any more.
Dr Prakash Heda of Nairobi, a student and my friend has supported me constantly whether he lived in India or abroad. I thank him sincerely. My thanks also go to Dr Neeta Kulkarni, Professor and Head of the Department of Anatomy, Dr SMCSI Medical College, Karakonam, Trivendrum who always enquired about the progress of the book.
I also thank to Dr Sushma Deshmukh, Dr Ravi Deshmukh, Dr Tule, the pediatric surgeon, and Dr Mukewar, the Director of Gastrointestinal Institute of Central India.
Dr SD Suryawanshi Professor and Head of the Department of Medicine, Indira Gandhi Medical College, Nagpur, acted as my constant critic during the preparation of this book. I thank him profusely.
I have all the appreciation for the work done by Manoj Dharmadhikari for computerised typing of the manuscript. Mr Avinash Kokate did an excellent work in drawing the diagrams artistically with colour. I cannot forget both of them for their devotion and punctuality.
I shall be failing to furnish my duty if I do not express my gratitude to Dr Kishore Taori, the dynamic professor of radiology of the Government Medical College, Nagpur for providing me the necessary material for the production of this book.
My better half, Mrs Arati Kadasne, took pains to go through the manuscript and helped me untiringly till the completion of the book.
Dr Shivraj Mulik, ophthalmic surgeon provided actual photographs of fundoscopic examination showing retinal vessels. Dr BJ Chikodi, Ex-civil Surgeon and Dr JS Mulik, ophthalmic surgeon encouraged me in the production of this book. I express my gratitude to them.12
My thanks also go to Dr Dasgupta, Dean, Lata Mangeshkar Medical Hospital, who provided the clinical photographs for publication of my book and Dr Kothe, the plastic surgeon who provided beautiful clinical photographs of cleft lip and palate.
My thanks are due to Dr Padole, surgeon and Dr Neral and Dr Jape, radiologists for their encouraging comments and helping hands. Dr Mrs Pushpa Jagtap, Ex-Dean of Indira Gandhi Medical College, Nagpur and her two brilliant sons, namely Dr Prashant, cardiovascular surgeon of Wockhardt Hospital, Nagpur and Dr Jitendra Jagtap, renowned orthopedic surgeon have extended their supports whole heartedly, I cannot forget them. Dr Mangrulkar took pains to provide necessary photographs for their reproduction, I am also grateful to him. Dr KN Ingle, Professor of Pandit Jawaharlal Nehru College, Sawangi, Wardha has always acted as my source of inspiration, so, I cannot forget him.
I am under the heavy obligations of Hon'ble Datta Meghe, MP and the Chancellor of Datta Meghe Institute of Medical Sciences for the friendly approach, advice and appreciation, who allowed me to continue my academic association with the subject of anatomy by appointing me as Professor Emeritus of Anatomy in his prestigious institute. It is this institute which encouraged me to continue my academic activity. Although I was engaged in my surgical practice, the credit for production of this book goes to the DMIMS. I cannot forget the friendly and helpful approach of the Professor of surgery, Dr Vinay Shahapurkar, who also made available so many clinical photographs in the publication of this book.
I am grateful to Shri Jitendar P Vij, CMD of M/s Jaypee Brothers Medical Publishers Pvt. Ltd. for publishing this book. I acknowledge the contribution of Mr Tarun Duneja, the Director (Publishing) of Jaypee Brothers and his team particularly Mr DC Gupta (Copyeditor), Ms Seema Dogra (Cover Designer) and Mr Sumit Kumar (Graphic Designer) who deserve my sincere thanks. I am extremely grateful to my beloved students who always appreciated and inspired me for teaching the subject. Last but not least, I am extremely grateful to Almighty who has allowed me to achieve my goal.